LOCAL ANESTHESIA/ANALGESIA
... potential for toxicity from ester local anesthetics. Among the resulting metabolites from ester local anesthetics, the para-aminobenzoic acid is believed to be an antigen responsible for subsequent allergic reactions. Amides are mainly metabolized by the liver. Patient with severe hepatic disease ma ...
... potential for toxicity from ester local anesthetics. Among the resulting metabolites from ester local anesthetics, the para-aminobenzoic acid is believed to be an antigen responsible for subsequent allergic reactions. Amides are mainly metabolized by the liver. Patient with severe hepatic disease ma ...
Anesthesia for Labor and Delivery
... stomach can cause major risks, emergency c-section. you may be told not to eat or drink For your baby: once labor has started. Ice chips •• May make your baby sleepy, which may make it harder and small sips of water are usually to breastfeed immediately after birth. okay. You may also be given an •• ...
... stomach can cause major risks, emergency c-section. you may be told not to eat or drink For your baby: once labor has started. Ice chips •• May make your baby sleepy, which may make it harder and small sips of water are usually to breastfeed immediately after birth. okay. You may also be given an •• ...
Spinal Anaesthesia
... Advantages of spinal anaesthesia Full and complete anaesthesia • Prolonged block: Pain free postoperatively • Alternative to GA for certain poor risk patients esp.: - Difficult airway - Respiratory disease • Contracted bowel • Good muscle relaxation • Suitable for certain surgical procedures: ...
... Advantages of spinal anaesthesia Full and complete anaesthesia • Prolonged block: Pain free postoperatively • Alternative to GA for certain poor risk patients esp.: - Difficult airway - Respiratory disease • Contracted bowel • Good muscle relaxation • Suitable for certain surgical procedures: ...
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)
... Abstract: Pain following surgery is a protective but an unwanted effect which is to be relieved for the better outcome of surgery. The present study was conducted to (1)Compare the safety and efficacy of opioid analgesics, Morphine, Butorphanol and Fentanyl along with local Anaethetic Bupivacaine, w ...
... Abstract: Pain following surgery is a protective but an unwanted effect which is to be relieved for the better outcome of surgery. The present study was conducted to (1)Compare the safety and efficacy of opioid analgesics, Morphine, Butorphanol and Fentanyl along with local Anaethetic Bupivacaine, w ...
LECTURE 9- Postoperative management DR
... Site and type of surgery • general, upper abdominal surgery produces greater pain than lower abdominal surgers • operation on the ritchly innervated digits associated with severe pain. • The type of pain differ with different types of surgery. ...
... Site and type of surgery • general, upper abdominal surgery produces greater pain than lower abdominal surgers • operation on the ritchly innervated digits associated with severe pain. • The type of pain differ with different types of surgery. ...
PACUs ANALGESIA
... Methods of treating pain in PACUs • Moderate to severe postoperative pain in the PACU can be managed with parenteral or intraspinal opioids, regional anesthesia, or specific nerve blocks • When an epidural catheter has been placed, epidural administration of fentanyl, 50—100 µg, sufentanil, 20—30 µ ...
... Methods of treating pain in PACUs • Moderate to severe postoperative pain in the PACU can be managed with parenteral or intraspinal opioids, regional anesthesia, or specific nerve blocks • When an epidural catheter has been placed, epidural administration of fentanyl, 50—100 µg, sufentanil, 20—30 µ ...
- Anesthesiology Clinics
... all parturients present with a platelet count less than 150,000/mm 3, however, and 0.5% to 1% present with a platelet count less than 100,000/mm 3 [1]. An epidural or spinal hematoma can be a catastrophic complication that can lead to permanent paralysis. In 1988, Cousins and Bromage recommended tha ...
... all parturients present with a platelet count less than 150,000/mm 3, however, and 0.5% to 1% present with a platelet count less than 100,000/mm 3 [1]. An epidural or spinal hematoma can be a catastrophic complication that can lead to permanent paralysis. In 1988, Cousins and Bromage recommended tha ...
Mahmoud Ibrahim abd el fattah_mahmoud ppt
... the local anesthetic. Although the block is easily performed, the success rate is less than 100% and varies with the experience of the operator. ( Krishna et al., 2004). ...
... the local anesthetic. Although the block is easily performed, the success rate is less than 100% and varies with the experience of the operator. ( Krishna et al., 2004). ...
Charting Regional - Epidural Events A
... However, you will need to UNDO each pump rate change individually in order to clear the entire TimeLine for the infusion. To DISCONTINUE the drug order, the steps are the same as above. ...
... However, you will need to UNDO each pump rate change individually in order to clear the entire TimeLine for the infusion. To DISCONTINUE the drug order, the steps are the same as above. ...
Local Anesthetics
... rate of interaction with Na+ chs. Potency is +vely correlated with lipid solubility. Lid, procaine, & mepivacaine are > water-soluble than tetracaine, bupivacaine, & ropivacaine that are more potent & have longer DOA. Long acting (bupivacaine ) also bind more extensively to plasma proteins & can be ...
... rate of interaction with Na+ chs. Potency is +vely correlated with lipid solubility. Lid, procaine, & mepivacaine are > water-soluble than tetracaine, bupivacaine, & ropivacaine that are more potent & have longer DOA. Long acting (bupivacaine ) also bind more extensively to plasma proteins & can be ...
Local Anesthetics
... Potency is +vely correlated with lipid solubility. Lid, procaine, & mepivacaine are > watersoluble than tetracaine, bupivacaine, & ropivacaine that are > potent & have longer DOA. Long acting (bupivacaine ) also bind more extensively to plasma proteins & can be displaced by other protein-bound dru ...
... Potency is +vely correlated with lipid solubility. Lid, procaine, & mepivacaine are > watersoluble than tetracaine, bupivacaine, & ropivacaine that are > potent & have longer DOA. Long acting (bupivacaine ) also bind more extensively to plasma proteins & can be displaced by other protein-bound dru ...
Opioids part 2
... PHARMACOKINETICS • Age: • reduce dosage by 50% or more in older patients • Neonates less than 1 year have reduced elimination • Dose required in children 2-11 can be double that of adults ...
... PHARMACOKINETICS • Age: • reduce dosage by 50% or more in older patients • Neonates less than 1 year have reduced elimination • Dose required in children 2-11 can be double that of adults ...
Local anesthetics
... Retrograde spread of the distally injected local anesthetic agent Very rapid onset For arm/leg procedures < 1hour Can be performed with: Prilocaine, Chloroprocaine, Lidocaine (0.5% solution, 40-60 ml) Possible complications: LA intoxication when tourniquet is insufficient or released less ...
... Retrograde spread of the distally injected local anesthetic agent Very rapid onset For arm/leg procedures < 1hour Can be performed with: Prilocaine, Chloroprocaine, Lidocaine (0.5% solution, 40-60 ml) Possible complications: LA intoxication when tourniquet is insufficient or released less ...
New Developments in Neuraxial Anesthesia
... reduction in lower respiratory tract infections 30% increase in lung volumes Faster extubation within first 4 hours Quicker transfer from ICU to step down unit ...
... reduction in lower respiratory tract infections 30% increase in lung volumes Faster extubation within first 4 hours Quicker transfer from ICU to step down unit ...
Epidural Certification Course for Nurses 2010 - West
... The local anaesthetic drugs in common use act primarily by binding to receptor sites in the sodium channel, preventing this influx of sodium ions and thereby blocking conduction of the nerve impulse. To do this the local anaesthetic agent must first cross the cell membrane. Local anaesthetic drugs e ...
... The local anaesthetic drugs in common use act primarily by binding to receptor sites in the sodium channel, preventing this influx of sodium ions and thereby blocking conduction of the nerve impulse. To do this the local anaesthetic agent must first cross the cell membrane. Local anaesthetic drugs e ...
Pain Relief - Arthur Tseng
... score by 4 to 5 points when used during labour, at appropriate timings. Epidural analgesia is currently used extensively for labour pain management, and involves the introduction of local anaesthetic solution into the space surrounding the spinal cord nerves, to produce markedly diminished or absent ...
... score by 4 to 5 points when used during labour, at appropriate timings. Epidural analgesia is currently used extensively for labour pain management, and involves the introduction of local anaesthetic solution into the space surrounding the spinal cord nerves, to produce markedly diminished or absent ...
Drugs
... General anesthesia (GA) -uses intravenous and inhaled agents to allow adequate surgical access to the operative site. GA may not always be the best choice; depending on a patient’s clinical presentation! ...
... General anesthesia (GA) -uses intravenous and inhaled agents to allow adequate surgical access to the operative site. GA may not always be the best choice; depending on a patient’s clinical presentation! ...
Review of Equine Analgesics and Pain Management
... Pain is very debilitating in the horse and may be primarily responsible for the result of euthanasia during certain medical conditions (e.g., laminitis). Yet, adequate pain management may be expensive, difficult to evaluate, and may require frequent drug administration. Additionally, most commonly u ...
... Pain is very debilitating in the horse and may be primarily responsible for the result of euthanasia during certain medical conditions (e.g., laminitis). Yet, adequate pain management may be expensive, difficult to evaluate, and may require frequent drug administration. Additionally, most commonly u ...
Paediatric spinal anaesthesia - Anesthesia Slides, Presentations
... Differences • fibrous sheaths around nerves are not well developed and myelination is not complete until about 2 years of age. • This makes immature nerves more sensitive to local anaesthetics and less concentrated solutions than are used in adults usually result in a dense block. ...
... Differences • fibrous sheaths around nerves are not well developed and myelination is not complete until about 2 years of age. • This makes immature nerves more sensitive to local anaesthetics and less concentrated solutions than are used in adults usually result in a dense block. ...
Snímek 1
... Use of RA • Analgesia, e.g. fractured femur, fractured ribs • As the sole anaesthetic for surgery with or without sedation, e.g. hand surgery • In combination with GA, e.g. total knee replacement • For postoperative analgesia ...
... Use of RA • Analgesia, e.g. fractured femur, fractured ribs • As the sole anaesthetic for surgery with or without sedation, e.g. hand surgery • In combination with GA, e.g. total knee replacement • For postoperative analgesia ...
Good+epidural+educat..
... motor block and allow some mobility. Spinal analgesia (a.k.a. “spinals”) are also used for pain relief during labor, but unlike conventional epidurals, they allow women to move during labor. In a spinal, the analgesic drug is injected directly into the spinal space through the dura, producing fast-a ...
... motor block and allow some mobility. Spinal analgesia (a.k.a. “spinals”) are also used for pain relief during labor, but unlike conventional epidurals, they allow women to move during labor. In a spinal, the analgesic drug is injected directly into the spinal space through the dura, producing fast-a ...
Lecture notes of International Edcation Local Anesthetics Definition
... Dilute solution of LA is infiltrated under the skin ...
... Dilute solution of LA is infiltrated under the skin ...
EACH WOMAN`S LABOR IS UNIqUE … TYPES OF PAIN RELIEF
... consciousness. Therefore, it is often used when an urgent cesarean delivery is needed. A major risk during general anesthesia is caused by food or liquids in the woman’s stomach. Labor usually causes undigested food to stay in the stomach. During unconsciousness, this food could come back into the m ...
... consciousness. Therefore, it is often used when an urgent cesarean delivery is needed. A major risk during general anesthesia is caused by food or liquids in the woman’s stomach. Labor usually causes undigested food to stay in the stomach. During unconsciousness, this food could come back into the m ...
Introduction of two new anaesthetic agents
... Ropivacine-Why Safer Than Bupivacaine? • Cumulative doses up to 770 mg over 24 hours (intraoperative block plus postoperative infusion) • Continuous epidural infusion at rates up to 28 mg per hour for 72 hours have been well tolerated in adults, ie, 2016 mg plus surgical dose of approximately 100-1 ...
... Ropivacine-Why Safer Than Bupivacaine? • Cumulative doses up to 770 mg over 24 hours (intraoperative block plus postoperative infusion) • Continuous epidural infusion at rates up to 28 mg per hour for 72 hours have been well tolerated in adults, ie, 2016 mg plus surgical dose of approximately 100-1 ...
Epidural administration
Epidural administration (from Ancient Greek ἐπί, ""on, upon"" + dura mater) is a medical route of administration in which a drug or contrast agent is injected into the epidural space of the spinal cord. Techniques such as epidural analgesia and epidural anaesthesia employ this route of administration. The epidural route is frequently employed by certain physicians and nurse anaesthetists to administer diagnostic (e.g. radiocontrast agents) and therapeutic (e.g., glucocorticoids) chemical substances, as well as certain analgesic and local anaesthetic agents. Epidural techniques frequently involve injection of drugs through a catheter placed into the epidural space. The injection can result in a loss of sensation—including the sensation of pain—by blocking the transmission of signals through nerve fibers in or near the spinal cord.